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Feb 11, 2013
02/13
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and going back to the slide that i showed with the five different cities, the same drg, there's tremendous variation in total costs of care. primarily around hospital readmissions and, as sheila said, postacute care. so we're really trying to figure out what is the best way for hospitals to work with postacute care providers to reduce readmissions, to make sure that there's a much more balanced distribution of spending in the postacute care spending channels that we have. so we et a sort of a set number of drgs, here's the ones the hospitals can choose to participate in. hospitals have the opportunity or hospitals or other health care providers participating can choose which drgs they want to take. but we have different models. some models just combine the physician with the hospital, some models combine the physician/hospital postacute, some just focus on the postacute. we're really trying to figure out what works, what doesn't work, and one hypothesis is different models will work differently in different parts of the country given how dramatically different the health care provider mix
and going back to the slide that i showed with the five different cities, the same drg, there's tremendous variation in total costs of care. primarily around hospital readmissions and, as sheila said, postacute care. so we're really trying to figure out what is the best way for hospitals to work with postacute care providers to reduce readmissions, to make sure that there's a much more balanced distribution of spending in the postacute care spending channels that we have. so we et a sort of a...
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Feb 1, 2013
02/13
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if somebody applied in the, to the mexico city u.s. embassy in january of 2007, and someone else crossed the border and is here in january of 2008, we all agree that the person who waited in line in 2007 should be able to get that green card before the person in 2008. we have to figure out how to do that so it's not an interminalably long period of time, that people are old or dead before they become. at the same time we have to make sure that this principle is kept because that helps us pass a bill. one other point i would make. we made two exceptions to that. dick durbin worked very hard on the dream act. we all agreed that should get special priority. >> young people born here as children? >> yeah. second we'll need something special for agriculture because it is a different situation. virtually whether you're in new york dairy country or arizona ranching country you can't get americans to do this kind of work. >> we're about to get the hook. my penultimate question, senator mccain, have you talked to speaker boehner about this? >>
if somebody applied in the, to the mexico city u.s. embassy in january of 2007, and someone else crossed the border and is here in january of 2008, we all agree that the person who waited in line in 2007 should be able to get that green card before the person in 2008. we have to figure out how to do that so it's not an interminalably long period of time, that people are old or dead before they become. at the same time we have to make sure that this principle is kept because that helps us pass a...
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Feb 28, 2013
02/13
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proudly because she was from the city of chicago, the president said he. shot dead in a park sitting on a swing in a park. like a little kid, with three of her friends, a gang banger decided that was their park. jermaine mcfarland who was gunned down just hours after her sister joined the president. you saw it on television for a gun safety event in chicago. 25 people gone every day in this country and it doesn't count mothers, fathers sons daughters whose lives have been irrevocably altered. folks, let me say this as clearly as they can. they're going to be a flood of voices in this debate, but i am determined that the loudest voice will be the voice of those who we have lost. we have to speak for them and their families. enough is enough. we have an obligation to act. and yesterday the people of the second congressional district of illinois spoke for the first time since new town. voters said a clear unequivocal signal. the voters chose among candidates who spoke forcefully for the need for rational then safety legislation. the voters sent a message last
proudly because she was from the city of chicago, the president said he. shot dead in a park sitting on a swing in a park. like a little kid, with three of her friends, a gang banger decided that was their park. jermaine mcfarland who was gunned down just hours after her sister joined the president. you saw it on television for a gun safety event in chicago. 25 people gone every day in this country and it doesn't count mothers, fathers sons daughters whose lives have been irrevocably altered....
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Feb 21, 2013
02/13
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one of the things who would love to see down the road is also good folks in the state or city level thinking about the adaptation plans are thinking about work they do on clean energy or climate change. and how to reach out to folks from their federal facilities in the spaces. so there's often a va hot but out in the area where there may be a department of homeland security border that is they are for a military base that has a macro grade going mad? read going in. reaching into those facilities and asking them to be part of your efforts because they often have significant amount of employees they may be driving to work. i go back to denver in the denver center, the greatest campus in the world working with the lakewood community college in the national renewable energy lab in the town of lakewood to figure out things like how to set up matcher of essays. buses that ran from the new metro stop they are so then you can go onto the base and back to the community college. such a think about those folks as partners in the work you are doing because often we will bury ourselves in office is enact
one of the things who would love to see down the road is also good folks in the state or city level thinking about the adaptation plans are thinking about work they do on clean energy or climate change. and how to reach out to folks from their federal facilities in the spaces. so there's often a va hot but out in the area where there may be a department of homeland security border that is they are for a military base that has a macro grade going mad? read going in. reaching into those...
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Feb 13, 2013
02/13
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as a senator from new york, i'm troubled about the emerging threats as new york city is a top tear row target. we have two missions for wmd under the national guard, cutting those programs, obviously, puts us at grave risk. we have a lot of national guard contingencies and operations throughout the state which is essential for recovery efforts. we saw what an amazing job they did in hurricane sandy so i'm very concerned that with these cuts, we expose ourselves to vulnerabilities. cyber threats is the greatest threat. we do a lot of work for them in the labs, and i'm worried about our training. obviously, it's one of the premier trading operations we have for the army, and we have to keep the resources available. i'd like you to briefly talk about if you can quantify, how are the risks now elevated because of the cuts? >> well, senator, i'll answer briefly and see if one of the chiefs, in terms of their service,ment to respond. you asked the right question. how is risk elevated? so what we provide a deterrent against enemies and assurance of the allies, and then where we can't do as mu
as a senator from new york, i'm troubled about the emerging threats as new york city is a top tear row target. we have two missions for wmd under the national guard, cutting those programs, obviously, puts us at grave risk. we have a lot of national guard contingencies and operations throughout the state which is essential for recovery efforts. we saw what an amazing job they did in hurricane sandy so i'm very concerned that with these cuts, we expose ourselves to vulnerabilities. cyber threats...
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Feb 13, 2013
02/13
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i hear it from city managers and mayors. and, you know what else? these folks don't speak with an "r" or a "d" beside their name, but, rather, an "a" for american. and their message is very loud, clear, and unmistakable. e.p.a. is overreaching, overbearing, and overstepping boundaries that have long existed. and the question is alway requee same -- they ask, senator, what can you do? what can do you to change how they act? nebraskans frustration is driven by both what e.p.a. is trying to do -- meaning the content of the rules and standards -- as well as how the agency is making its decisions. so today, madam president, i will be introducing several proposals to address these two areas. my first proposal addresses how e.p.a. conducts business, by increasing transparency in policy decisions. i'm introducing a bill that brings agency guidance documents under the coverage of the congressional review act. as currently written, the c.r.a. covers only substantial agency rules. meanwhile, e.p.a. has made use of what they call "guidance documents" to simply
i hear it from city managers and mayors. and, you know what else? these folks don't speak with an "r" or a "d" beside their name, but, rather, an "a" for american. and their message is very loud, clear, and unmistakable. e.p.a. is overreaching, overbearing, and overstepping boundaries that have long existed. and the question is alway requee same -- they ask, senator, what can you do? what can do you to change how they act? nebraskans frustration is driven by both...
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Feb 20, 2013
02/13
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then it was a national security issue, so national security issue, so and washington and mexico city the president corporation and building trust, institutional trust mexico understands the views to disagree on something we agree it is such of complicated situation but fighting drugs and trafficking, smugglers, a long way to go but we are much better when fingerpointing would have been with those differences are channels and many times to move on the agenda. but one clarification i am here is a private citizen not public official. when i talk about we it is because it is not we is them. i am hoping you take that into account. what is obvious is the geography with mexico and the destiny of loss. including rocks from columbia, arms not just central america but all over the world salute that is a huge issue. so with needs of social development the flows of people crossing territories as out papers to get to the u.s.. at the same time the source of millions of americans went out of 10 are there and now we received that now is that the core of our own perception of what are mexicans. this
then it was a national security issue, so national security issue, so and washington and mexico city the president corporation and building trust, institutional trust mexico understands the views to disagree on something we agree it is such of complicated situation but fighting drugs and trafficking, smugglers, a long way to go but we are much better when fingerpointing would have been with those differences are channels and many times to move on the agenda. but one clarification i am here is a...
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Feb 26, 2013
02/13
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to cities by 2050. further away from the food, where the food is grown, requiring new ways to prevent waste, and enhanced nutrition. here's another illustration, one should stick out all the statistics that are thrown at you so far. in fact, if there's one thing that i hope you will remember from my remarks this morning, it would be this. i still, it's just breathtaking just to say this. a full 30-50% of the food produced in the world rots forgoes unbeaten. -- or goes unbeaten. that to me is one of the most amazing statistics i will ever articulate. up to half of our total global output. except while waste might be the problem here in the developed world, the problem and the developing countries be getting the goods to market, as we all know. roughly 85% of the food produced never crosses international borders. and given the unequal distribution of people in arable land i just mentioned, that is a major obstacle today of feeding the world. so when it comes down to is that we need to produce more, higher
to cities by 2050. further away from the food, where the food is grown, requiring new ways to prevent waste, and enhanced nutrition. here's another illustration, one should stick out all the statistics that are thrown at you so far. in fact, if there's one thing that i hope you will remember from my remarks this morning, it would be this. i still, it's just breathtaking just to say this. a full 30-50% of the food produced in the world rots forgoes unbeaten. -- or goes unbeaten. that to me is...
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Feb 15, 2013
02/13
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one of the things that we very much would like to do, which the president address less than the city union is enable homeowners who are paying there bills, who are under water to no fault of their own because of the financial crisis to be able to refinance there loans. right now you have come up to of commerce ron locked into six, seven, 8% mortgages when they should be able to get three and half for 4%. we ought to deal to do that on a bipartisan basis. >> six you very much. thank you, mr. chairman. >> thank you very much, senator. >> think you very much, mr. chairman. i appreciate having you here with us today. i want to continue to focus on tax reform as we did in our private discussions. as i have shared with you in my work with the bulls simpson commission and other areas trying to address putting together a comprehensive deficit reduction package in debt reduction package, our view, tax reform as i have heard you say today, a key part of that cannot because of the need to raise revenue, which is where you and i may have some disagreements, but because of the need to generate gr
one of the things that we very much would like to do, which the president address less than the city union is enable homeowners who are paying there bills, who are under water to no fault of their own because of the financial crisis to be able to refinance there loans. right now you have come up to of commerce ron locked into six, seven, 8% mortgages when they should be able to get three and half for 4%. we ought to deal to do that on a bipartisan basis. >> six you very much. thank you,...
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Feb 4, 2013
02/13
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serving low-income americans in new york city, and is a trained internist and outlook health specialists. and then paul tang, who is board certified practicing internist and vice president and chief innovation and technology officer at palo alto medical foundation in california. he also served during my tenure and since then at the office of national coordinate as a member and now as vice chair of the federal health information technology policy council, or committee, which was established by the congress to advise the office of national corner on health information technology policy. and the third member of our panel, hot summer underground, is christine bechtel, who is the vice president of the national partnership for women and families, where she is responsible for strategic direction and oversight of the organization's multifaceted work. she's also a member of the federal health i.t. policy committee and does high noon work on the role of consumers with respect to health technology and technology generally. so i think the way we're going to proceed, we are one short, we are going to
serving low-income americans in new york city, and is a trained internist and outlook health specialists. and then paul tang, who is board certified practicing internist and vice president and chief innovation and technology officer at palo alto medical foundation in california. he also served during my tenure and since then at the office of national coordinate as a member and now as vice chair of the federal health information technology policy council, or committee, which was established by...
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Feb 19, 2013
02/13
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i mean, the iranians do not have massive artillery zeroed in on some nearby friendly city. we need to take that into account. on the other hand, i totally agree with you that iranians have a long tradition and a great interest, and they want to be a power in the region. and one of the questions we have to resolve, while we can't dictate it, is what our role in the region will be in the future, what their role, what our arab friends' role will be and where it will go. and the best of all possible worlds, this is walking hand in hand into the sunset at the end of a hollywood movie. that's pretty far down the road. the second question is that while it would be nice to say there is going to be a line in our discussions with iran if they ever get engaged, if we get into any kind of gear between the regional developments and the iranian bilateral issue, number one nuclear but perhaps others, i think it's going to be hard to do that if the iranians themselves think there is traction to be gained. >> right. >> in dealing with the process. and so one of our problems is not being abl
i mean, the iranians do not have massive artillery zeroed in on some nearby friendly city. we need to take that into account. on the other hand, i totally agree with you that iranians have a long tradition and a great interest, and they want to be a power in the region. and one of the questions we have to resolve, while we can't dictate it, is what our role in the region will be in the future, what their role, what our arab friends' role will be and where it will go. and the best of all...
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Feb 19, 2013
02/13
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and rocket launchers that can destroy the city of seoul in a matter of minutes or a few hours, if the north koreans unleash this weaponry. and they have this kind of deterrence. to threaten us and they have had it for a long period of time and we are very, very cognizant about this. another related issue in this connection though is that once north korea mounts nuclear warheads on its missiles, how is, how is that going to affect the retaliation policy? that was established between the united states and south korea in 2010, following the shelling of the young pong island in november of 2010. policy that in the future south korea would have the right to retaliate militarily, if north korea committed future provocations and the u.s. would support that kind of retaliation. what is going to happen to the u.s. and the rok attitude towards the retaliation policy once north korea has nuclear war ahead on its missiles and can threaten to rain nuclear missiles down on south korea, if south korea does retaliate? how are we going to react to this kind of scenario? which i think we will face once
and rocket launchers that can destroy the city of seoul in a matter of minutes or a few hours, if the north koreans unleash this weaponry. and they have this kind of deterrence. to threaten us and they have had it for a long period of time and we are very, very cognizant about this. another related issue in this connection though is that once north korea mounts nuclear warheads on its missiles, how is, how is that going to affect the retaliation policy? that was established between the united...
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Feb 26, 2013
02/13
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to bonnie, let's go to our republican line next, to nicholas in new york city. nicholas, welcome. >> caller: well, it's great to be here, and thank you, and i'll try to make it brief, and let me apologize to the others waiting on line. i just, very quickly, you know, i came here as a child in 1966, and they moved us up to the bronx. we came here through red cross auspices. and, you know, my dad and mom worked two and three jobs, eventually they bought real estate because they saved their money. we were subsistence farmers back home -- >> host: nicholas, where -- where was back home? you said you came here in '66. where was back home? >> caller: montenegro today on border of albanian on the coast of adriatic sea. we were albanian catholics. in fact, we were a minority amongst other minorities, but we were the minority. >> host: back to our question, how do you think these budget cuts will affect you? >> guest: well, i've been watching this thing, and it seems like i've seen this movie before. now, i've worked very hard as my mom and daddied, as my brothers do, an
to bonnie, let's go to our republican line next, to nicholas in new york city. nicholas, welcome. >> caller: well, it's great to be here, and thank you, and i'll try to make it brief, and let me apologize to the others waiting on line. i just, very quickly, you know, i came here as a child in 1966, and they moved us up to the bronx. we came here through red cross auspices. and, you know, my dad and mom worked two and three jobs, eventually they bought real estate because they saved their...
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Feb 14, 2013
02/13
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there it was at the bronco games. well, we all know it was denver, the mile-high city. senator udall really razzed and did some pretty uppity trash talk. but we with our usual pride and gentility weathered the storm. and i could not believe it. i thought the game was over. i was ready to kick back and call my sister when oh, wow, there goes flacco for that 70-yard toss and it was a touchdown. you know, i'm short and chunky but i was ready to do cartwheels around my condo that evening. then on to dealing with the new england patriots, all the way up to the super bowl. and we were out there winning again, and then the lights went out in new orleans, but i tell you, even though they went out for 38 minutes in new orleans, the lights were all over in baltimore and we were purple. we were purple with pride and purple with joy. and we were so pleased that they brought us a victory, not only on the playing fields of the national football league, but you know what else they did? it created a sense of community, a sense of energy. if you came with me like to one of our great oth
there it was at the bronco games. well, we all know it was denver, the mile-high city. senator udall really razzed and did some pretty uppity trash talk. but we with our usual pride and gentility weathered the storm. and i could not believe it. i thought the game was over. i was ready to kick back and call my sister when oh, wow, there goes flacco for that 70-yard toss and it was a touchdown. you know, i'm short and chunky but i was ready to do cartwheels around my condo that evening. then on...